Only one service option can be selected. For example, in the case of a patient who is to receive community based rehabilitation 6 days per week and hospital based rehabilitation (as a day patient) 2 days per week, the principal referral service would be Community/home based - rehabilitation.
Code 001 No service is required
Community/home based services exclude hospital in the home.
Code 101 Community/home based - rehabilitation
Code 201 Hospital based (admitted) - rehabilitation
The primary clinical purpose or treatment goal is to improvement the functioning of a patient with an impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating. (QHDD care type)
Code 102 Community/home based - palliative
Code 203 Hospital based (admitted) - palliative
The primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs. (QHDD care type)
Code 103 Community/home based - geriatric evaluation and management
Code 204 Hospital based (admitted) - geriatric evaluation and management
The primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs associated with medical conditions related to ageing, such as tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems. (QHDD care type)
Code 104 Community/home based - respite
Code 205 Hospital Based (admitted) - respite
The patient is receiving respite care. Respite care is care given as an alternative care arrangement with the primary purpose of giving the carer or a care patient a short term break from their usual arrangement. Note: Respite care should only be recorded when the primary purpose is to substitute for the usual care arrangement (Aged Care Evaluation Management Advisors (ACEMA), Final Report - Appendices, page E13).
Code 105 Community/home based - psychogeriatric
Code 206 Hospital Based (admitted) - psychogeriatric
The primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural or late onset psychiatric disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition (QHDD care type).
Code 106 Home and community care
A Commonwealth and State funded program to support frail older people to remain in their homes through the provision of a comprehensive range of high quality and cost effective care packages to them and their carers (ACEMA, Final Report - Appendices, page E15).
Code 107 Community Aged Care Package, extended aged care in the home
A program that delivers community care as well as services to meet the needs of carers (ACEMA, Final Report - Appendices, page E15)
Code 108 - Flexible Care Package
Flexible care is defined in the Aged Care Act 1997 (The Act) as "care provided in a residential or community setting through an aged care service that addresses the needs of care recipients in alternative ways to the care provided through residential care services and community care services." The Act currently provides for three forms of flexible care - Extended Aged Care at Home (EACH), Multi Purpose Services (including some regional Health Service Centres) and Innovative Care. Care is also provided outside The Act through Flexible Services for Indigenous Australians (ACEMA, Final Report - Appendices, page E15).
Code 109 Transition care program
Provides short-term support and active management for older people at the interface of the acute/sub-acute and residential aged care sectors. Transition care may offer nursing support, low intensity therapy or rehabilitation, personal care, medical support and case management (Care of Older Australians Working Group (COAWG)).
Code 110 Outreach service
Includes physical outreach by multidisciplinary teams or consultancy by telehealth (for example, rural stroke outreach teams).
Code 111 Community/home based - nursing/domiciliary
Includes only those domiciliary and community services provided by a registered or enrolled nurse, for example, health assessments and assistance with activities of daily living provided by non-government organisations such as Blue Care or St Luke's. Nursing services provided by the HACC program should be coded 106; nursing services provided through a Community aged care package should be coded 107.
Code 198 Community/home based - other
Other non-hospital based services not described above.
Code 202 Hospital based (admitted) - maintenance
The primary clinical purpose or treatment goal is support for a patient with impairment, activity limitation or participation restriction due to a health condition. Following assessment or treatment the patient does not require further complex assessment or stabilisation. (QHDD care type).
Code 207 Hospital based (admitted) - acute
The primary clinical purpose or treatment goal is to:
- manage labour
- cure illness or provide definitive treatment of injury
- perform surgery
- relieve symptoms of illness or injury (excluding palliative care)
- protect against exacerbation and/or complication of an illness and/or injury which could threaten life or normal function
- perform diagnostic or therapeutic procedures. (QHDD care type)
Code 208 Hospital based - non-admitted services
Includes outpatient appointments.
Code 209 Hospital based - other
Other hospital based services, including multi-purpose health services, not described above.
Code 998 Other service
Other service not described above.
Code 999 Not stated/unknown service
The service has not been specified or is unknown.